Carbon Medical Service Association, Incorported
Organization Active NPI Federally Qualified Health Center (FQHC) · Sunnyside, UT
NPI 1124579230 · NPPES record last updated Apr 7, 2025
Key facts
- NPI
- 1124579230
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- CARBON MEDICAL SERVICE ASSOCIATION, INCORPORTED
- Practice address
- 331 Highway 123
Sunnyside, UT 84539 - Phone
- (435) 888-4411
- Fax
- (435) 888-2270
- NPI assigned
- Oct 24, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- CARBON MEDICAL SERVICE ASSOCIATION, INCORPORATED
Authorized official
- Name
- Mrs. Lisa Kay Clark
- Title
- Executive Director
- Phone
- (435) 888-4411
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Carbon Medical Service Association Incorported
- Part of
- Carbon Medical Service Association Incorported
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
331 Highway 123
Sunnyside, UT 84539
Mailing address
PO Box 930
East Carbon, UT 84520-0930
Phone (435) 888-4411
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ========= | Medicaid | UT |
Other names
- The Helper Clinic
Other providers in Sunnyside, UT
- Timothy Adam Callahan
- Carbon Medical Service Association Incorporated
- Carbon Medical Service Association, Incorporated
- Ami Josephine Curtis
- Gypsie Marie Delgado
- Devin W Edwards
- Daniel Clin Gibson
- Misty Lee Metelko
All providers in Sunnyside, UT · Federally Qualified Health Center (FQHC) in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.